{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T07:12:27Z","timestamp":1788592347238,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      Inflatable penile prosthesis (IPP) is the gold standard for refractory erectile dysfunction, yet long\u2010term outcomes in the Veterans Affairs (VA) health care population remain incompletely characterized. Using the Satisfaction Survey for Inflatable Penile Implant (SSIPI)\u2014a recently validated, English\u2010language, IPP\u2010specific instrument (16 items; 1\u20135 Likert scale; total score 16\u201380)\u2014we conducted a retrospective chart review and telephone\u2010administered survey as an Institutional Review Board\u2013approved quality improvement project at our regional VA medical center. All men undergoing primary IPP implantation from 1993 to 2021 were identified. Of 114 patients (82 living, 32 deceased at census date), 52 of 82 living patients (63.4%) completed the SSIPI. Median follow\u2010up was 129.4 months (IQR 46.9\u2013203.0), and median age at first surgery was 62 years (IQR 58\u201367). Median total SSIPI score was 67.5\/80 (IQR 58.0\u201376.0); 67.3% of respondents were satisfied or somewhat satisfied. Smokers reported significantly lower satisfaction with post\u2010implant penile length than non\u2010smokers (SSIPI item #8: median 3.0\u00a0vs. 4.5; Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      ,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.032), and 48.1% of all respondents scored \u22643 on this domain regardless of smoking status, highlighting the importance of preoperative counseling on length expectations. Patients with lower comorbidity burden (ASA \u2264 2) reported higher overall satisfaction than those with ASA \u2265 3 (mean 70.36\u00a0vs. 61.13;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.028). Older age at surgery was positively correlated with overall satisfaction (Spearman\n                      <jats:italic>\u03c1<\/jats:italic>\n                      = 0.463,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001), supporting IPP as appropriate management in older patients. No significant differences in overall SSIPI score were observed by diabetes status or BMI. Long\u2010term IPP satisfaction in this VA cohort was favorable overall. Smoking history and higher comorbidity burden identify patients warranting enhanced preoperative counseling. The SSIPI demonstrates utility as a long\u2010term quality improvement outcome measure for IPP in a real\u2010world VA setting.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/andr.70339","type":"journal-article","created":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T06:40:33Z","timestamp":1788590433000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long\u2010Term Satisfaction With Inflatable Penile Prosthesis Using the Satisfaction Survey for Inflatable Penile Implant in a Veteran Population"],"prefix":"10.1111","author":[{"given":"Anessa","family":"Sax\u2010Bolder","sequence":"first","affiliation":[{"name":"Department of Urology Mayo Clinic Rochester  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5189-6156","authenticated-orcid":false,"given":"Tad","family":"Manalo","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Urology, CU Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan","family":"Makedon","sequence":"additional","affiliation":[{"name":"University of Michigan Department of Urology  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Shahinyan","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Department of Urology  Pasadena California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Morrison","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Urology, CU Anschutz Medical Campus  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8501-3147","authenticated-orcid":false,"given":"Rohan","family":"Bhalla","sequence":"additional","affiliation":[{"name":"Rocky Mountain Regional VA Medical Center, Surgery\/Urology  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5360-4735","authenticated-orcid":false,"given":"Mark D.","family":"Sawyer","sequence":"additional","affiliation":[{"name":"Rocky Mountain Regional VA Medical Center, Surgery\/Urology  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0111-6809","authenticated-orcid":false,"given":"Granville L.","family":"Lloyd","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Urology, CU Anschutz Medical Campus  Aurora Colorado USA"},{"name":"Rocky Mountain Regional VA Medical Center, Surgery\/Urology  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2006.06.010"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.05.004"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2017.04.02"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2021.05.003"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2020.04.001"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2018.10.003"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.07.012"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.13054"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.10.001"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2019.08.001"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.4103\/aja.aja_27_21"},{"key":"e_1_2_12_13_1","unstructured":"Veterans Health Administration.U.S. Department of Veterans Affairs. Accessed May 1 2022 2022 https:\/\/www.va.gov\/health\/."},{"issue":"4","key":"e_1_2_12_14_1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.7249\/rhq-05-04-13","article-title":"Current and Projected Characteristics and Unique Health Care Needs of the Patient Population Served by the Department of Veterans Affairs","volume":"5","author":"Eibner C.","year":"2016","journal-title":"RAND Health Quarterly"},{"key":"e_1_2_12_15_1","volume-title":"Statistical Brief (Medical Expenditure Panel Survey (US))","author":"Machlin S. 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Accessed May 1 2022 2022 https:\/\/www.asahq.org\/standards\u2010and\u2010guidelines\/asa\u2010physical\u2010status\u2010classification\u2010system."},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2017.01.001"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010009\u20101160\u20100"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/jom.0000000000000922.<\/bib"}],"container-title":["Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/andr.70339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/andr.70339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/andr.70339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T06:40:35Z","timestamp":1788590435000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/andr.70339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":22,"alternative-id":["10.1111\/andr.70339"],"URL":"https:\/\/doi.org\/10.1111\/andr.70339","archive":["Portico"],"relation":{},"ISSN":["2047-2919","2047-2927"],"issn-type":[{"value":"2047-2919","type":"print"},{"value":"2047-2927","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"assertion":[{"value":"2026-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"andr.70339"}}